Kodi Zimatanthauza Chiyani Kukhala ndi Chiberekero Chokhumudwitsa ndipo Zimathandizidwa Bwanji?

Zamkati

• Zizindikiro zake ndi ziti?
• Nchiyani chingayambitse izi?
• Matenda opatsirana pogonana (STDs)
• Ukazi wakunyumba
• Kusamvana kwa mahomoni
• Zimayambitsa zina
• Kodi amapezeka bwanji?
• Kodi ndi njira ziti zamankhwala zomwe zingapezeke?
• Kodi zovuta ndizotheka?
• Chiberekero chokwiya pamimba
• Chiberekero chokwiya ndi khansa
• Maganizo ake ndi otani?
• Kodi zitha kupewedwa?

Kodi chiberekero ndi chotani?

Khomo lanu lachiberekero ndilo gawo lotsika la chiberekero lanu. Imakhala ngati mlatho pakati pa chiberekero ndi nyini. Mawu oti "wokwiya" amatanthauza minyewa yomwe imagwetsa misozi, kupota, komanso kutuluka magazi mosavuta ikakhudza.

Ngati chiberekero chanu chokhala ndi khomo pachibelekeropo chimakhala chovuta kwambiri komanso kukwiya msanga, chimadziwika kuti khomo lachiberekero louma.

Chiberekero chowopsa nthawi zambiri chimakhala chizindikiro cha vuto lomwe lingathe kuchiritsidwa.

Pitilizani kuwerenga kuti mudziwe zambiri pazomwe zimayambitsa chiberekero, momwe zimapezekera, komanso zomwe mungayembekezere.

Zizindikiro zake ndi ziti?

Ngati muli ndi khomo pachibelekeropo, mutha kukumana ndi izi:

• kuwona pakati pa nthawi
• kuyabwa kumaliseche, kutentha, kapena kukwiya
• kutulutsa kwachilendo
• kusapeza bwino kapena kupweteka panthawi yogonana
• kutuluka magazi mutagonana

Zizindikiro zowonjezera zimadalira pazomwe zimayambitsa. Ndikofunika kukumbukira kuti zizindikilo zonsezi zimatha kuyambitsidwa ndi zinthu zina kupatula khomo lachiberekero. Komanso, ndizotheka kuti simudzakhala ndi zizindikilo zilizonse ndipo khomo lachiberekero louma limapezeka ndi dokotala mukamamuyesa mchiuno.

Nchiyani chingayambitse izi?

Choyambitsa sichingadziwike nthawi zonse, koma pali zifukwa zingapo zomwe mungakhalire ndi khomo pachibelekeropo. Ena mwa iwo ndi awa:

Matenda opatsirana pogonana (STDs)

Cervicitis, matenda opatsirana kapena osapatsirana a chiberekero, nthawi zambiri amayamba chifukwa cha matenda opatsirana pogonana. Zizindikiro za matenda opatsirana pogonana nthawi zambiri zimaphatikizira kutuluka kwamadzi ndikutuluka magazi pakati pa msambo kapena mutagonana. Matenda ena opatsirana pogonana alibe zizindikiro.

Matenda ena opatsirana pogonana omwe angayambitse cervicitis ndi chiberekero chowopsa ndi:

• Chlamydia: Chlamydia imayambitsa chiberekero, chomwe chimapangitsa kuti chikhale chosalimba. Zizindikiro zake zimaphatikizapo kutuluka kwachilendo komanso kutulutsa magazi mosavuta.
• Chizonono: Gonorrhea imatha kupatsirana khomo pachibelekeropo. Zizindikiro zake zimaphatikizapo kutuluka kwampweya wamkazi, kumva kutentha nthawi yokodza, ndi kutuluka magazi pakati pa nthawi.
• Zilonda: Amayi ena amadwala herpes kokha pa khomo pachibelekeropo. Zizindikiro zimaphatikizapo kutuluka kwamphuno, kupsinjika maliseche, ndi zilonda zakumaliseche.
• Trichomoniasis: Tizilombo toyambitsa matenda timakhudza ziwalo zoberekera, kuphatikizapo khomo pachibelekeropo. Zizindikiro zimatha kuphatikizira kusapeza bwino nthawi yogonana, kuwotcha, komanso kutulutsa kwachilendo.

Ukazi wakunyumba

Vraginal atrophy imachitika mukamalumikiza ukazi wanu ukayamba kuchepa ndikuchepa.Potsirizira pake, nyini imatha kuchepa ndikuchepera. Izi zitha kupangitsa kuti kugonana kukhale kowawa, kapena kosatheka.

Matenda opatsirana m'mimba amathanso kubweretsa zovuta mumikodzo, kuphatikizapo matenda amikodzo (UTIs) komanso kuchuluka kwamikodzo pafupipafupi. Vuto lakumaliseche nthawi zambiri limayamba chifukwa cha kusamvana kwa mahomoni.

Kusamvana kwa mahomoni

Mahomoni akuluakulu achikazi ndi estrogen ndi progesterone, omwe amapangidwa kwambiri m'mimba mwake. Estrogen ndiyofunikira makamaka pakusamalira thanzi la nyini.

Zinthu zina zomwe zingayambitse kusinthasintha kwa mahomoni kapena kutsika kwa estrogen ndi:

• mimba
• kubereka
• kuyamwitsa
• kuchotsa opaleshoni ya thumba losunga mazira
• kusamba kwa nthawi ndi kusintha kwa msambo
• mankhwala ena ndi mankhwala a khansa

Low estrogen ingayambitse:

• kuuma kwa nyini
• kupatulira kwa nyini
• kutupa kwa nyini
• Kupsa mtima komanso kusapeza bwino, makamaka nthawi yogonana komanso itatha

Zizindikiro zina za otsika estrogen ndi:

• kusinthasintha
• mavuto ndi kukumbukira ndi kusinkhasinkha
• kutentha ndi thukuta usiku
• nkhawa ndi kukhumudwa
• anaphonya msambo
• khungu lowuma
• kukodza pafupipafupi kapena kusadziletsa kwamikodzo

Zimayambitsa zina

Chiberekero chowopsa chingayambitsenso ndi:

• Ectropion yachiberekero: Umu ndi momwe maselo am'mimba ochokera mkatikati mwa khomo lachiberekero amafalikira kunja kwa khomo lachiberekero. Kuphatikiza pa kutuluka mwansanga mosavuta, mutha kuwona kutaya kwambiri kuposa masiku onse. Kutuluka magazi ndi kupweteka panthawi yogonana kapena kuyesa m'chiuno ndizotheka.
• Tizilombo toyambitsa matenda: Izi nthawi zambiri zimakhala zopanda khansa. Zina kupatula kutuluka pang'ono magazi ndikutulutsa, ma polyps samayambitsa zizindikiro.
• Chiberekero cha intraepithelial neoplasia (CIN): Uku ndikukula kwakanthawi kwamaselo achilendo omwe nthawi zambiri amapezeka pambuyo poti munthu watenga kachilombo ka papilloma virus (HPV). Sikuti nthawi zonse zimayambitsa zizindikilo ndipo nthawi zambiri zimapezeka ndi mayeso amtundu wa Pap.

Kodi amapezeka bwanji?

Dokotala wanu ayamba kuyesa kwathunthu m'chiuno kuti ayang'ane zilonda kapena zovuta zina zomwe zimawoneka kapena kumva.

Dokotala wanu ayamba ndi mayeso a Pap (Pap smear) kuti awone zovuta zamaselo achiberekero. Kuyesedwa kwa Pap kumaphatikizapo kusuntha kosavuta kwa khomo pachibelekeropo poyesedwa m'chiuno. Zotsatira zitha kuwonetsa matenda opatsirana kapena khansa ya pachibelekero.

Kutengera zomwe zapezeka komanso zomwe muli nazo, dokotala wanu angakulimbikitseninso:

• A colposcopy, komwe ndikufufuza kwa khomo pachibelekeropo pogwiritsa ntchito chida chokulitsira chotchedwa colposcope. Zitha kuchitika kuofesi ya dokotala wanu.
• A kudandaula za zilonda zilizonse zokayikitsa ngati ali ndi khansa. Minofu imatha kutengedwa panthawi yomwe colposcopy imachitika.
• Kuyesedwa kwa STD, nthawi zambiri amayesedwa magazi ndi mkodzo.
• Kuyesedwa kwa msinkhu wa mahomoni, nthawi zambiri amayesa magazi.

Kodi ndi njira ziti zamankhwala zomwe zingapezeke?

Dokotala wanu angafune kudziwa chomwe chimayambitsa musanapereke uphungu. Kuthana ndi vutoli kungathetsere matenda anu.

Pakadali pano, funsani ngati mungagwiritse ntchito mafuta kapena mafuta kuti mukhale omasuka.

Chlamydia akhoza kuchiritsidwa ndi maantibayotiki. Chifuwa amathanso kuchiritsidwa ndi mankhwala, ngakhale matendawa atha kuwonongeka mpaka kalekale. Palibe mankhwala nsungu, koma ndi chithandizo, mutha kuchepetsa zizindikilo komanso kuphulika kwakanthawi. Matenda a Trichomoniasis akhoza kuthandizidwa ndi mankhwala.

Chifukwa nyini kukanika ndipo kusamvana kwa mahomoni, dokotala wanu amatha kulimbikitsa mafuta ndi mafuta omwe amatha kuchepetsa kuuma. Muthanso kugwiritsa ntchito dilator, yomwe imathandizira kukulitsa kumaliseche pang'onopang'ono, kuti zikhale zosavuta kugonana popanda kupweteka. Mankhwala apakhungu kapena pakamwa amatha kuchepetsa zizindikilo, kukulitsa minofu ya chiberekero ndi kumaliseche, ndikubwezeretsa bakiteriya ndi asidi.

Ectropion yachiberekero itha kudziyimira yokha, koma malowa atha kutumizidwa ngati kuli kofunikira.

Tizilombo toyambitsa matenda ndipo CIN akhoza kuchotsedwa pa colposcopy. Minofu idzatumizidwa ku labotale kukayesedwa khansa.

Ngati khomo lanu pachibelekeropo likumadza chifukwa cha mankhwala kapena chithandizo cha khansa, liyenera kuwonekera mukalandira mankhwala anu.

Kodi zovuta ndizotheka?

Chiberekero chowopsa sichimayambitsa zovuta zilizonse. Koma ngati simulandila chithandizo cha matenda monga cervicitis ndi matenda ena opatsirana pogonana, matenda amatha kufalikira muchiberekero kapena machubu. Izi zitha kubweretsa matenda otupa m'mimba (PID).

CIN ikapanda kuchiritsidwa, CIN itha kukhala khansa ya pachibelekero.

Chiberekero chokwiya pamimba

Mimba imayambitsa kusintha kwa mahomoni, kotero ndizotheka kukhala ndi khomo lachiberekero louma pathupi. Kuwononga kapena kutaya magazi panthawi yapakati kumayenera kutengedwa mozama.

Dokotala wanu adzayang'ana ngati ali ndi kachilombo ka khomo lachiberekero, khomo lachiberekero lotupa, kapena kukula kwa khomo pachibelekeropo.

Khomo lachiberekero lokhwima lokha silimaika pangozi mimba yanu. Koma dokotala wanu angafune kuti aone ngati ali ndi vuto lachiberekero lofooka (vuto lachiberekero losakwanira).

Vutoli limatha kupangitsa kuti khomo lanu lachiberekero litseguke posachedwa, zomwe zingayambitse kubereka msanga. Ultrasound ingathandize kudziwa ngati ndi choncho. Kulephera kwa chiberekero kumatha kuchiritsidwa ndi mankhwala.

Chiberekero chokwiya ndi khansa

Chiberekero chokwiyitsa chimatha kupweteketsa nthawi yogonana, kutaya magazi mutagonana, ndikuwona pakati pa nthawi. Ngakhale izi zitha kuchitika chifukwa cha matenda, kusasiyana kwa mahomoni, kapena vuto lina, izi zitha kukhalanso zizindikiro za khansa ya pachibelekero. Ndicho chifukwa chake ndikofunikira kwambiri kukaonana ndi dokotala mwamsanga.

Kuyesedwa kwa khansa ya pachibelekero kungaphatikizepo:

• Kuyesa kwa pap
• colposcopy
• Chibelekero cha khomo lachiberekero

Chithandizo cha khansa ya pachibelekero chimadalira gawo lomwe mungapeze ndipo mungaphatikizepo izi:

• opaleshoni
• chemotherapy
• mankhwala a radiation
• mankhwala olimbana ndi mankhwala

Maganizo ake ndi otani?

Nthawi zina, khomo pachibelekeropo limatha kutuluka palokha, ngakhale popanda chithandizo.

Maganizo anu payekha amatsimikiziridwa ndi chomwe chimayambitsa ndi chithandizo chomwe chilipo. Poganizira zaumoyo wanu wonse, dokotala wanu atha kukupatsani lingaliro la zomwe muyenera kuyembekezera.

Funsani dokotala wanu za nthawi yomwe mungatsatire.

Kodi zitha kupewedwa?

Chiberekero chowopsa nthawi zambiri chimakhala chizindikiro cha matenda kapena vuto lina. Ngakhale kulibe njira yodzitetezera, mutha kuchepetsa mwayi wanu wopanga zina mwazomwe zingayambitse chiberekero chowopsa.

Mwachitsanzo, muchepetsani mwayi woti mutenge matenda opatsirana pogonana pogwiritsa ntchito kondomu ndikuchita limodzi.

Ngati mukumva kuwawa kapena kutuluka magazi nthawi yogonana kapena mukatha, onani dokotala wanu. Kuchiza koyambirira kwa matenda ndi matenda opatsirana pogonana kumatha kupewa zovuta za PID.

Ndipo onetsetsani kuti mwaonana ndi dokotala wanu kapena azachipatala kuti mukapimidwe pafupipafupi.